Ever since the advent of Laparoscopic Cholecystectomy, where in, it has established itself as the Gold Standard in the management of Gall Bladder disease, the effort has been to decrease the size of the incisions and the number of the ports . This is based on the fact that port site complications are directly proportional to the incision size and their number.

We use two Traction sutures, one at the fundus and the other at the Hartmann’s Pouch to open the subhepatic space and the Calots Triangle . The dissection is more or less similar to the standard Laparoscopic Cholecystectomy. Instead of Liga Clips we use Extracorporeal knotting for handling of the Cystic duct and the Cystic Artery . We also use energy source for tackling the Cystic Artery in some cases to save time. The specimen is delivered in a bag retrograde through the camera port.

We have experience of over 500 cases with minimal conversion rate ( 3 % ) to Three or Four Port Laparoscopic Cholecystectomy ( in difficult cases ) .

We have found the requirement of analgesia in these cases is much less, and cosmetic appearance is excellent.

Since this procedure doesn’t require specialised equipments / instruments, we recommend its feasibility for Cholecystectomy.

Post Views: 14

Share this:

Related

Recently, on SAGES…

Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th–14th in Seattle, WA The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will kick off its 2018 Annual Meeting as part of the 16th World Congress of Endoscopic Surgery. Hosted by SAGES and CAGS (Canadian Association […]

https://survey.az1.qualtrics.com/jfe/form/SV_5pCM9JWvDBphkjj Who Can Enter Open to any surgeon who is either a member of SAGES or an attendee at the 2018 SAGES Annual Meeting AND who completes the 2018 SAGES Video Based Assessment Online Survey at the link above. Drawing Entry Period The drawing period is from survey launch on April 6, 2018 to 11:59pm […]

Join Us! (Because You Deserve to Play as Hard as You Work) Opening Session Welcome Ceremony & Exhibits Welcome Reception Wednesday, April 11, 5:00 PM – 7:30 PM Join us for highlights of the meeting, the upcoming Dr. Jeff Ponsky video preview, a U.S. military color guard and Canadian bagpiper, and a procession to the […]